This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Büchi, S Articles by Stoll, T Search for Related Content PubMed PubMed Citation Articles by Büchi, S Articles by Stoll, T Social Bookmarking                   What's this?

PRISM (Pictorial Representation of Illness and Self Measure) - a novel visual method to assess the global burden of illness in patients with systemic lupus erythematosus

Division of Psychosocial Medicine, University Hospital, Zürich, Switzerland; Abteilung für Psychosoziale Medizin, Universitätsspital, Culmannstrasse 8, 8091 Zürich, Switzerland. Tel: (/ 41) 1 255 52 52; Fax: (/ 41) 1 255 43 84; sbuechi{at}psyp.unizh.ch

P Villiger

Department of Rheumatology, Inselspital, Bern, Switzerland

Y Kauer

Rheumaund Rehabilitationsklinik, Schinznach, Switzerland

R Klaghofer

Division of Psychosocial Medicine, University Hospital, Zürich, Switzerland

T Sensky

Imperial College of Medicine, West Middlesex University Hospital, London, UK

T Stoll

Rheumaund Rehabilitationsklinik, Schinznach, Switzerland

Objective: For patients with chronic illnesses the global burden of illness is a crucial health measure hitherto neglected in research studies and clinical practice. We tested the application and validity of PRISM (Pictorial Representation of Illness and Self-Measure), a novel visual method for assessing the burden of illness, in patients with systemic lupus erythematosus (SLE).

Method: PRISM was applied in a cross sectional sample of 60 patients with SLE. Correlations were assessed between a quantitative measure derived from PRISM (Self-Illness Separation <Eth> SIS) and sociodemographic factors, measures of disease activity, damage, physical and psychological disability variables, as well as coping resources.

Results: The PRISM task was understood by all but one patient, and was in every instance completed in less than 3 minutes. SIS correlated with SF-36 physical health, coping resources as assessed by Sense of Coherence (SOC), and age, but not with disease activity or damage. In multiple regression analyses, independent contributions to SIS were observed for SF-36 physical component scale (contributing 12% of the variance). SOC (10%) and age (14%).

Conclusion: PRISM is a new non-verbal measure to assess burden of illness. As in previous studies, PRISM was well accepted and understood by patients with SLE, quick to complete, and yielded meaningful information consistent with that in earlier research work.

Key Words: SLE • burden of illness • illness outcomes

Lupus, Vol. 9, No. 5, 368-373 (2000)
DOI: 10.1191/096120300678828479


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				S. Buchi, H. Morgeli, U. Schnyder, J. Jenewein, A. Glaser, J.-C. Fauchere, H. Ulrich Bucher, and T. Sensky Shared or Discordant Grief in Couples 2-6 Years After the Death of Their Premature Baby: Effects on Suffering and Posttraumatic Growth Psychosomatics, March 1, 2009; 50(2): 123 - 130. [Abstract] [Full Text] [PDF]

				M. Eriksson and B. Lindstrom Antonovsky's sense of coherence scale and the relation with health: a systematic review J Epidemiol Community Health, May 1, 2006; 60(5): 376 - 381. [Abstract] [Full Text] [PDF]